| NPI | 1962886077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAMES CARUSO Director 630-747-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 036089891) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-08-03 |